You can kiss your “without F-wave serve conduction study (NCS)” pay good-bye unless you use these strategies to show the payer the additional study is separately payable. Take a look at this scenario one of our readers sent us and put your nerve conduction coding skills to the test.

Solve the Scenario

A patient arrives for neuromuscular electrodiagnostic testing on his lower extremity. Your neurologist performs a study that includes a distal and proximal Peroneal nerve conduction recorded off the extensor digitorum brevis (EDB) muscle, along the foot. The late-response F-wave study is also performed. How should this be billed?

AUDIO TRAINING: Secrets for coding CNS tests, with Marvel Hammer.

Answer: Bill the NCS as 95903 (Nerve conduction, amplitude and latency/velocity study, each nerve; motor, with F-wave study). So far, so good....